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MAI~IUN CUUN I Y <br />DEPT. OF BUILDING INSPECTION <br />,~enator Building # 22~ <br />220 High St., N.E, ~d Floor <br /> Salem, Or. on 97301 <br /> <br /> ~-5147 -- ~-5148 <br /> <br />By: . <br /> <br />Da~_ ee:, 12_/~1/~1 5:00 ...... P.M.- .......... , CODE-A-Phone, .,588'5373,,,. .......... 8:00 A.M_ <br /> <br /> Type of Permit-' ~obile Home ~LAC~t/ds~ & ~,3.so. Connection Tax Lo: No; -- -.- - <br /> <br /> ~dr~:~ , 93~? Sno~ Drive~ S. E. Au~ville ....... ~c_ <br /> <br /> Plans by: Phone: <br /> <br /> ~o¢ No; , ,. 8tk, No: ..... Sub dy. ,_ Lot <br /> <br /> Sewage ~e~ti~ ~te ~0.00 <br /> Di~po~aR - . .... EvaJ: .... Pe~it Fee: <br /> <br />Area ~ Bldg; ~0 Z 2~ Smti~;~,, State Surcha~e: · .... <br /> <br />ga~n~: ~ Ty~: , PlansChk. Fee; .... <br /> <br />Heating <br />S~mm: ~'o~oe~ A~ Elec. ~ptlc Permit Fee: ~0.00 s~rch~ <br /> <br />,~h~. property six Yea~ a~o.~d fl~infq~ld a year m~o ~?hn~ ~%erm <br />He Said he Just didn't ~htnk about a perm/t. Dotcie <br /> <br />I have read thi~ appllcarion ~n i~s entire~/ and ceeti£y :her ~e ~/~formatio~ i~ t~ue a~ co~t to ~;e ~f Of my k~wl~ge~ <br /> <br /> LEASE NOTE: Driveway a~ s~d~alk ins~ctlons am requlr~ by PU~ Works: ~8-~ <br /> Other ~r~ts r~uit~ ~ this dept: P~u~i~ ~ EJ~tri~l~ <br /> <br /> <br />